Organization Active NPI

Capitol Imaging Inc

  • Body Imaging Physician
  • Sacramento, CA
National Provider Identifier
1457048357
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
CAPITOL IMAGING INC
Practice address
3013 El Camino Ave Ste a
Sacramento, CA 95821-6063
Phone
(916) 793-8131
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Summer MianNPI 1831869817
Title
Owner
Phone
(916) 793-8131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

3013 El Camino Ave Ste a
Sacramento, CA 95821-6063

Mailing address

3013 El Camino Ave Ste a
Sacramento, CA 95821-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230719000198 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8921468240 Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

3013 El Camino Ave
Ste A
Sacramento, CA 95821
Phone (916) 793-8131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1457048357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 EL CAMINO AVE STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 EL CAMINO AVE STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216063",
            "telephone_number": "916-793-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-793-8131"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.